Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,716.80 / $8,005.16 / $13,601.00	Facility		$1,716.80	$8,005.16	$13,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,886.00 / $3,886.00 / $7,458.80	Professional		$3,886.00	$3,886.00	$7,458.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,204.50 / $3,204.50 / $3,204.50	Facility		$3,204.50	$3,204.50	$3,204.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,556.98 / $5,556.98 / $5,556.98	Facility		$5,556.98	$5,556.98	$5,556.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,160.00 / $1,160.00 / $3,735.20	Professional		$1,160.00	$1,160.00	$3,735.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,060.00 / $4,292.00 / $4,640.00	Facility		$4,060.00	$4,292.00	$4,640.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,044.00 / $2,610.00 / $2,610.00	Professional		$1,044.00	$2,610.00	$2,610.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,204.50 / $4,292.00 / $5,556.98	Facility		$3,204.50	$4,292.00	$5,556.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,190.00 / $3,190.00 / $3,190.00	Professional		$3,190.00	$3,190.00	$3,190.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,160.00 / $2,320.00 / $3,499.96	Professional		$1,160.00	$2,320.00	$3,499.96